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Nur |! 155 |! exam |! 2 |! with |! verified |!
detailed |! solutions
What |! are |! 4 |! techniques |! of |! critical |! thinking? |! - |! Correct |! answer |! ✔1.critical |! analysis 2.socartic |! questioning |! 3.inductive |! reasoning |!
- |! deductive |! reasoning problem |! solving |! - |! Correct |! answer |! ✔clarify |! the |! problem |! and |! come |! up |! with |! a |! solution What |! is |! the |! purpose |! of |! the |! nursing |! process? |! - |! Correct |! answer |! ✔identify |! clients |! health, |! risk, |! etc What |! are |! the |! 5 |! phases |! of |! nursing |! process? |! - |! Correct |! answer |! ✔1. |! Assessing 2.Diagnosing
- |! planning
- |! implementing
- |! evaluating
what |! care |! plan |! do |! we |! mainly |! use |! as |! nurses? |! - |! Correct |! answer |! ✔individualized |! care |! plan Initial |! planning |! - |! Correct |! answer |! ✔you |! have |! your |! data, |! and |! then |! you |! begin |! your |! assessment. Macronutrients |! include |! what? |! - |! Correct |! answer |! ✔water, |! carbs, |! proteins, |! fat, |! and |! vitamins. All |! macronutrients |! all |! measured |! in |! what? |! - |! Correct |! answer |! ✔grams Micronutrients |! include |! what? |! - |! Correct |! answer |! ✔some |! vitamins |! and |! minerals. Micronutrients |! measured |! in? |! - |! Correct |! answer |! ✔milligrams |! and |! micrograms Monosaccharides |! include |! what? |! - |! Correct |! answer |! ✔glucose, |! fructose, |! and |! galactose. |! absorbed |! in |! small |! intestines. Carb |! metabolism |! - |! Correct |! answer |! ✔breaks |! it |! down |! and |! turns |! it |! into |! energy
Micro |! minearls |! - |! Correct |! answer |! ✔iron |! zinc iodine floridine |! copper advance |! as |! tolerated |! - |! Correct |! answer |! ✔allowed |! to |! increase |! diet |! to |! soft |! food, |! etc. |! as |! long |! as |! tolerated. |! do |! not |! have |! to |! call |! dr Clear |! liquid |! diet |! - |! Correct |! answer |! ✔short. |! usually |! lasts |! 24-36 |! hours. |! ex: |! water, |! tea, |! jello, |! broth Soft |! diet |! - |! Correct |! answer |! ✔easily |! chewed |! and |! digested. |! good |! for |! people |! who |! have |! trouble |! swallowing Full |! liquid |! diet |! - |! Correct |! answer |! ✔liquids |! or |! foods |! that |! can |! turn |! into |! liquid |! by |! body |! temps. |! milk, |! ice |! cream, |! butter, |! eggs PEJ |! tube |! - |! Correct |! answer |! ✔inserted |! in |! jejunum PEG |! tube |! - |! Correct |! answer |! ✔inserted |! in |! stomach
NG |! tube |! - |! Correct |! answer |! ✔inserted |! in |! nose 1/4 |! cup |! of |! almonds |! will |! help |!? |! - |! Correct |! answer |! ✔cholesterol Older |! adults |! need? |! - |! Correct |! answer |! ✔need |! protein, |! higher |! chloric |! diet, |! and |! higher |! calorie |!. |! metabolism |! slows |! down. water |! is |! _____% |! of |! body |! weight? |! - |! Correct |! answer |! ✔ 60 it |! is |! important |! to |! remove |! what |! from |! body? |! - |! Correct |! answer |! ✔waste Extracellular |! fluid |! - |! Correct |! answer |! ✔fluid |! outside |! the |! body. |! 1/3 |! of |! adult |! body |! fluid Intracellular |! fluid |! - |! Correct |! answer |! ✔fluid |! inside |! the |! body. |! 2/3 |! of |! adult |! body |! fluid Diffusion |! - |! Correct |! answer |! ✔separated |! by |! semipermeable |! membrane osmosis |! - |! Correct |! answer |! ✔water |! moves |! across |! cell |! membrane |! from |! less |! concentration |! to |! more
Potassium |! is |! important |! for? |! - |! Correct |! answer |! ✔cardio, |! muscle |! contraction. |! kidneys |! eliminate |! potassium IV |! potassium |! - |! Correct |! answer |! ✔goes |! into |! pump. |! takes |! over |! 1 |! hour |! to |! get |! into |! body. |! burns |! the |! veins, |! start |! at |! 75 |! meg/L |! then |! make |! way |! up |! to |! 100 Normal |! calcium |! level |! - |! Correct |! answer |! ✔9-10. normal |! magnesium |! level |! - |! Correct |! answer |! ✔1.5-2. normal |! chloride |! level |! - |! Correct |! answer |! ✔98- normal |! phosphate |! level |! - |! Correct |! answer |! ✔2-4. normal |! BUN |! level |! - |! Correct |! answer |! ✔10-20 |! mg/dl normal |! creatinine |! level |! in |! female |! - |! Correct |! answer |! ✔0.5-1.1 |! mg/dl ph |! for |! urine |! - |! Correct |! answer |! ✔4.5- normal |! urine |! output |! in |! 24 |! hours |! - |! Correct |! answer |! ✔1200-1500 |! ml. |! under |! 1200 |! is |! abnormal
canes |! - |! Correct |! answer |! ✔move |! bad |! leg |! first, |! put |! cane |! on |! strong |! side. |! arm |! can |! flex |! and |! cane |! is |! at |! waist |! level. |! side |! and |! front |! should |! be |! 6 |! inches |! each walkers |! - |! Correct |! answer |! ✔ 6 |! inchs |! front |! and |! side. |! arm |! flexed |! and |! at |! waist |! level. |! step |! with |! weak |! leg |! first, |! and |! then |! strong |! leg |! will |! support crutches |! - |! Correct |! answer |! ✔elbows |! flexed |! at |! 30 |! degrees, |! 6 |! inches |! front |! and |! out going |! up |! stairs |! with |! crutches |! - |! Correct |! answer |! ✔good |! leg |! goes |! to |! heaven going |! down |! staris |! with |! crutches |! - |! Correct |! answer |! ✔bad |! leg |! goes |! to |! hell Critical |! analysis |! - |! Correct |! answer |! ✔deciding |! which |! pt |! is |! the |! highest |! priority |!. |! which |! pt |! are |! you |! going |! to |! see |! first Socratic |! questioning |! - |! Correct |! answer |! ✔about |! decisions/problems, |! assumptions, |! point |! of |! view, |! evidence |! and |! reasoning
nursing |! process: |! evaluating |! - |! Correct |! answer |! ✔Collect |! and |! compare |! data |! related |! to |! outcomes, |! relate |! nurse |! actions |! to |! client |! goats/outcomes, |! draw |! conclusion |! about |! problem |! status, |! continue/modify/terminate |! client |! care |! plan. Initial |! nursing |! assessment |! - |! Correct |! answer |! ✔performed |! after |! admission |! to |! obtain |! baseline |! data All |! RN's |! are |! responsible |! for |! the |! initial |! admission |! assessment/vitals |! to |! give |! a |! base |! line Problem |! focused |! assessment |! - |! Correct |! answer |! ✔Focus |! on |! 1 |! body |! system, |! the |! thing |! they |! are |! complaining |! of. |! IF |! they |! come |! into |! the |! ER |! with |! abdominal |! problems |! you |! wouldn't |! assess |! neurology Time |! lapsed |! reassessment |! - |! Correct |! answer |! ✔Assessment |! done |! several |! months |! from |! the |! first |! assessment |! to |! check |! progress Roys |! adaptation |! model |! - |! Correct |! answer |! ✔using |! data |! collection Gordons |! functional |! health |! pattern |! frame |! work |! - |! Correct |! answer |! ✔assess |! and |! sees |! whether |! they |! are |! able |! to |! function |! or |! not, |! their |! ADL's.
Orem's |! self-care |! model |! - |! Correct |! answer |! ✔ 8 |! universal |! health |! care |! needs Hyponatremia |! - |! Correct |! answer |! ✔Loss |! of |! to |! much |! sodium, |! you |! want |! to |! take |! a |! patient |! down |! slowly. |! o |! Signs: |! Tired, |! confusion, |! muscle |! twitching, |! abdominal |! cramps, |! anorexia, |! N/V, |! HA, |! Seizures, |! coma. |! o |! Nursing |! interventions: |! Monitor |! I&O, |! lab |! data, |! encourage |! food |! and |! fluids |! high |! in |! sodium |! if |! possible Hypernatremia |! - |! Correct |! answer |! ✔Gain |! of |! to |! much |! sodium |! o |! Signs: |! Thirst, |! decreased |! urine |! output/retaining, |! color |! change |! of |! urine, |! dry |! sticky |! mucosa |! membranes |! aka |! dry |! lips, |! tongue |! red |! dry |! and |! swollen, |! weakness. |! Would |! see |! Edema |! and |! Seizures |! big |! one. |! Early |! signs |! disorientation, |! fatigue |! and |! tired. Hypokalemia |! - |! Correct |! answer |! ✔loss |! of |! potassium |!. |! o |! Signs: |! Muscle |! weakness, |! tired, |! weak/threaded |! pulse, |! N/V/D, |! decreased |! GI |! motility, |! cardiac |! dysrhythmias, |! depressed |! deep |! tendon |! reflexes
male |! sperm |! can |! cause |! urine |! to |! look? |! - |! Correct |! answer |! ✔cloudy concentrated |! urine |! is |! ________ |! gravity? |! - |! Correct |! answer |! ✔higher |! specific |! gravity Urinary |! incontinence |! - |! Correct |! answer |! ✔Involuntary |! leak |! or |! urine |! or |! loss |! of |! bladder |! control Stress |! incontinence |! - |! Correct |! answer |! ✔- |! Weak |! pelvic |! floor |! muscle |! or |! urethral |! hypermobility; |! urine |! leak |! due |! to |! cough, |! sneeze, |! laugh, |! childbearing |! women, |! weight |! gain |! and |! sports |! injury. |! Embarrassing |! and |! uncontrolled. Urge |! incontinence |! - |! Correct |! answer |! ✔need |! to |! urinate |! and |! inability |! to |! stop, |! triggered |! by |! sound |! of |! running |! water |! or |! nothing |! at |! all, |! can |! leak |! large |! amounts, |! have |! to |! urinate |! even |! when |! bladder |! not |! at |! capacity, |! over |! active |! muscle |! spasms |! of |! bladder. |! Struck |! with |! desperate |! need |! to |! go. |! Can |! be |! triggered |! by |! running |! water. |! PT |! has |! a |! chance |! of |! leaking |! large |! amounts |! of |! urine. Overactive |! bladder |! - |! Correct |! answer |! ✔may |! have |! urge |! to |! go |! but |! may |! be |! able |! to |! hold |! it. |! They |! key |! with |! this |! is |! that |! your |! able |! to |! hold |! it |! but |! can |! interrupt |! your |! daily |! routine. |! Think |! of |! the |! gotta |! go |! gotta |! go |! commercial.
Deficient |! fluid |! volume |! - |! Correct |! answer |! ✔Dehydration |! or |! water |! loss |! alone |! without |! change |! in |! sodium Excess |! fluid |! volume |! - |! Correct |! answer |! ✔increased |! fluid |! retention Risk |! for |! imbalanced |! fluid |! volume |! - |! Correct |! answer |! ✔Refers |! to |! body |! fluid |! loss, |! gain |! or |! both Risk |! of |! deficient |! fluid |! volume |! - |! Correct |! answer |! ✔N/V/D Impaired |! gas |! exchange |! - |! Correct |! answer |! ✔Excess |! or |! deficit |! in |! oxygenation |! and/or |! CO2 |! elimination Impaired |! oral |! mucosa |! membrane |! - |! Correct |! answer |! ✔fluid |! volume |! deficit Impaired |! skin |! integrity |! - |! Correct |! answer |! ✔dehydration |! and |! edema Decreased |! cardiac |! output |! - |! Correct |! answer |! ✔related |! to |! hypovolemia |! and/or |! cardiac |! dysrhythmias |! secondary |! to |! fluid |! imbalance.
feeding |! until |! you |! verify |! placement |! especially |! with |! NG |! tubes. |! Need |! to |! make |! sure |! that |! is |! haven't |! somehow |! gone |! down |! into |! the |! person's |! airway. |! This |! is |! confirmed |! with |! X-Ray. |! a. |! Can |! also |! blow |! about |! 10 |! ML |! of |! air |! into |! it |! and |! verify |! the |! sound |! of |! air |! in |! the |! stomach. |!
- |! Make |! sure |! the |! person |! is |! at |! least |! sitting |! at |! 30 |! degrees |! so |! it |! doesn't |! cause |! aspiration |! into |! lungs |! during |! feeding |! and |! 30 |! mins |! afterwards. Where |! is |! Vitamin |! B |! 12 |! found? |! - |! Correct |! answer |! ✔- |! In |! animal's |! products |! and |! fortified |! foods. |!
- |! Mild |! products, |! eggs, |! and |! foods |! that |! have |! been |! fortified |! with |! vitamin |! B12. |! These |! include |! breakfast |! cereals, |! soymilk, |! veggie |! burgers, |! and |! nutritional |! yeast. 3 |! Components |! to |! a |! NANDA |! Nursing |! - |! Correct |! answer |! ✔1. |! Problem |! = |! Diagnostic |! label |! and |! definition, |! must |! be |! specific
- |! Etiology |! = |! Related |! factors |! and |! risk |! factors
- |! Defining |! characteristics |! = |! signs |! and |! symptoms |! (s&s) When |! is |! a |! 24 |! hour |! urine |! started? |! - |! Correct |! answer |! ✔- |! Void |! first |! then |! start |! 24 |! hours, |! want |! to |! start |! on |! a |! empty |! bladder. |!
- |! Go |! 24 |! hours |! and |! use |! the |! last |! void |! in |! the |! count |! for |! 24 |! hpurs. |!
- |! Label |! the |! time |! started, |! ended, |! use |! the |! container |! that |! doesn't |! allow |! sunlight |! in. |!
- |! Looking |! for |! the |! volume |! and |! for |! protein |! in |! the |! urine. |!
- |! Keep |! it |! cold |! or |! on |! ice |! so |! it |! doesn't |! cook |! the |! protein. |!
- |! If |! the |! PT |! flushes |! a |! void |! must |! restart |! test. What |! is |! a |! hemoccult |! - |! Correct |! answer |! ✔- |! Tests |! the |! stool |! for |! blood |! in |! it. |!
- |! Take |! a |! stick |! smear |! stool |! onto |! the |! 2 |! spots |! on |! the |! card. |! Make |! sure |! to |! use |! another |! stick |! or |! other |! end |! and |! also |! don't |! dip |! into |! the |! same |! area |! of |! the |! stool. |!
- |! Wait |! 3-5 |! minutes |! before |! applying |! drops |! (2 |! each |! spot) |! and |! wait |! 30 |! secs |! then |! put |! different |! drop |! on |! each |! and |! wait |! 10 |! secs. |!
- |! If |! blood |! can |! show |! signs |! of |! color |! cancer |! or |! a |! GI |! bleed. How |! do |! you |! obtain |! a |! stool |! sample? |! - |! Correct |! answer |! ✔1. |! Hat |! for |! toilet |!
- |! Bed |! pan
- |! Colostomy |! bag Clean |! catch |! - |! Correct |! answer |! ✔Properly |! clean |! the |! area, |! use |! towelette. |! Start |! the |! flow |! and |! then |! catch |! the |! urine |! midstream |! without |! stopping |! the |! flow
